Flasking order

With this I

Name:     ________________________________
Address:  ________________________________
               ________________________________

instruct the orchid lab Walter Bongers, Marcq-en-Baroeul-Str. 26, D-45966 Gladbeck
with the

in vitro propagation

of the following orchids:

1.__________________________________________ pieces:________
2.__________________________________________ pieces:________
3.__________________________________________ pieces:________
4.__________________________________________ pieces:________
5.__________________________________________ pieces:________

in accordance with the current sowing prices-list.

Special requests: _____________________________________________________
 

Hereby, I certify that my seeds have been legally obtained in agreement with current nature
conservation laws!
 

Place and Date:___________________________

Signature:         ___________________________
 
 

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